Active NPI
Tyler McKay Rawlins, OD
- Optometrist
- Lehi, UT
National Provider Identifier
1629648522
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 12362257-9934
- Practice address
- 3333 N Digital Dr Ste 300
Lehi, UT 84043-6694 - Phone
- (801) 876-6000
- Fax
- (385) 235-6111
- NPI assigned
- Jul 1, 2021
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 12362257-9934 | UT | Primary |
Addresses
Primary practice location
3333 N Digital Dr Ste 300
Lehi, UT 84043-6694
Mailing address
3333 N Digital Dr Ste 300
Lehi, UT 84043-6694
Phone (801) 876-6000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in UT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3333 N Digital Dr
Suite 300
Lehi, UT 84043-6694
Phone (801) 876-6000
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12362257-9934 | UT | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Waite Vision, PLLC | Current | Accepting new patients |
Locations
3333 N Digital Dr
Ste 300
Lehi, UT 84043
Phone (801) 876-6000
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1625097600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1625097600000",
"number": "1629648522",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3333 N DIGITAL DR STE 300",
"city": "LEHI",
"state": "UT",
"postal_code": "840436694",
"telephone_number": "801-876-6000",
"fax_number": "385-235-6111"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3333 N DIGITAL DR STE 300",
"city": "LEHI",
"state": "UT",
"postal_code": "840436694",
"telephone_number": "801-876-6000",
"fax_number": "385-235-6111"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAWLINS",
"first_name": "TYLER",
"middle_name": "MCKAY",
"credential": "OD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-07-01",
"last_updated": "2021-07-01",
"certification_date": "2021-07-01",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "UT",
"license": "12362257-9934",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lehi, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.